0001140361-13-045275.txt : 20131209
0001140361-13-045275.hdr.sgml : 20131209
20131209161309
ACCESSION NUMBER: 0001140361-13-045275
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20131206
FILED AS OF DATE: 20131209
DATE AS OF CHANGE: 20131209
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: FEDERATED NATIONAL HOLDING CO
CENTRAL INDEX KEY: 0001069996
STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331]
IRS NUMBER: 650248866
STATE OF INCORPORATION: FL
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 14050 NW 14 STREET
STREET 2: SUITE 180
CITY: SUNRISE
STATE: FL
ZIP: 33323
BUSINESS PHONE: 9545819993
MAIL ADDRESS:
STREET 1: 14050 NW 14 STREET
STREET 2: SUITE 180
CITY: SUNRISE
STATE: FL
ZIP: 33323
FORMER COMPANY:
FORMER CONFORMED NAME: 21ST CENTURY HOLDING CO
DATE OF NAME CHANGE: 19980909
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DORF CARL
CENTRAL INDEX KEY: 0001186092
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-25001
FILM NUMBER: 131265743
MAIL ADDRESS:
STREET 1: 7343 WEST PERSHING AVENUE
CITY: PEORIA
STATE: AZ
ZIP: 85387
4
1
doc1.xml
FORM 4
X0306
4
2013-12-06
0
0001069996
FEDERATED NATIONAL HOLDING CO
FNHC
0001186092
DORF CARL
14050 N.W. 14 STREET
SUITE 180
SUNRISE
FL
33323
1
0
0
0
Common Stock, par value $0.01 per share
2013-12-06
4
M
0
500
13.17
A
63964
I
Held by Dorf Trust
Common Stock, par value $0.01 per share
2013-12-06
4
F
0
473
13.95
D
63491
I
Held by Dorf Trust
Common Stock, par value $j0.01 per share
59624
I
Held by Carl Dorf Rollover IRA
Common Stock, par value $0.01 per share
5500
D
Stock Options (right to buy)
13.17
2013-12-06
4
M
0
500
0
A
2008-12-06
2013-12-06
Common Stock, par value $0.01 per share
500
0
D
Stock Options (right to buy)
12.58
2009-01-30
2014-01-30
Common Stock, par value $0.01 per share
4500
4500
D
Stock Options (right to buy)
4.73
2010-01-02
2019-01-02
Common Stock, par value $0.01 per share
15000
15000
D
Stock Options (right to buy)
2.45
2012-08-22
2021-08-22
Common Stock, par value $0.01 per share
10000
10000
D
Stock Options (right to buy)
4.40
2013-04-06
2022-04-06
Common Stock, par value $0.01 per share
15000
15000
D
Represents a "net exercise" of vested stock options. There was no open market sale of shares by the reporting person. A total of 473 shares were withheld by Issuer for payment of the exercise price, and the net exercise resulted in 27 shares being issued by the Issuer to the reporting person.
Closing market price of Federated National Holding Company common stock on the respective transaction date.
4000 of the total shares are restricted shares subject to vesting under the Issuer's 2012 Stock Incentive Plan.
Stock options vest 20% per year.
Stock options vest 33 1/3% per year.
/s/ Carl Dorf
2013-12-09